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INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD <br /> (to be completed by system installer) <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />scale: ~" =_~_9' ~) <br />(show all details and dimensions necessary to locate all components of the system in the future) <br /> <br /> (for Marion County use only) <br /> The above septic system has been inspected by Marion County. The information has been determined <br /> to be accurate and the system is: <br /> <br /> [ ] ApproVed ~h c ections: see inspection report <br /> [ ] Denied ~ ' <br /> <br />"Signed: A~.n ~/~ Title: , Date:~ U~ <br />as-built.frm %/~ - · WHITE:Marion County; YELLOW:Owner; PINK:In, taller <br />MC-15-S41 <br /> <br /> <br />